Prevention. Part 3: Prevention of tooth wear

Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear

“…Tooth wear, however, until recently has been regarded as being a problem that affects individual patients rather than being a community-based problem. 11 Whilst TW is undoubtedly on the increase, it is difficult to predict which individuals will be affected, making primary prevention difficult to achieve. Several researchers appear to support the view that once tooth wear has been diagnosed, wear progression appears to occur at a relatively slow rate, particularly in cases where preventative advice has been successfully implemented.…”

The effect of casein phosphopeptide‐amorphous calcium phosphate on erosive dentine wear

“…When data were analysed to investigate the effect of continuous and intermittent application of TM at neutral ⁄ near neutral environment, continuous TM application resulted in an overall lower mean wear rates (0.02 ± 0.06 mm 3 per 1000 cycles, mean ± SE adjusted for factors in the linear mixed model) 3 per 1000 cycles) (p < 0.001). When data were analysed to investigate the effect of intermittent application of TM at acidic and near neutral ⁄ neutral environments, method of TM application (TM vs no TM), secondary wear stages (S1 vs S2 vs S3) and the interaction between pH values (acidic and near neutral environments) and TM application (TM and no TM) contributed to significant reduction in dentine wear (p < 0.05) (Fig 2).…”

“…2 The management of tooth wear may involve various regimes, including dietary advice, stress management, nightguards, application of protective resin coating, use of fluoride and complex restorative work. 3 Given that there has been an increase in the prevalence of erosive tooth wear (referring to tooth wear by erosion combined with mechanical factors, such as attrition and toothbrush abrasion), and an increase in the longevity of teeth in recent decades, clinical management should focus on early detection and prevention before a restorative approach is considered. 4 Previous reports have indicated that topical fluoride can protect enamel and dentine against erosion 5,6 and a combination of erosion and toothbrush abrasion, [7][8][9] but not against attritional wear between opposing enamel and dentine specimens.…”

Rehabilitation of a Severely Worn Dentition using Fixed and Removable Partial Overdenture Prostheses

“…1 Tooth wear can also be attributed to a coarse diet, to rituals such as filing down teeth and to environmental factors. 2 Excessive occlusal attrition can result in pulpal pathology, occlusal disharmony, impaired function and esthetic disfigurement. 3 The reasons for undertaking occlusal rehabilitation may include the restoration of multiple teeth which are missing, worn, broken down or decayed.…”